Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Hi, Dr. Spaho. Important Question To Ask U And Hope
Question: Hi, Dr. Spaho. Important question to ask u and hope all is well with u and your family. Recently, I had an implant extracted in the exact location of the AO. Worse pain ever. The oral surgeon placed a plug in extraction site to promote bone growth but feels like a foreign object and has sent AO pain in high intensity. The neurologist here feels I should have it removed (which I tend to agree with). My question is this - being highly sensitive neurologically, could this plug be pressing on some nerves in or above the extraction site, causing this extra discomfort? Thanks so much.
Brief Answer:
I think too that the plug should be removed.
Detailed Answer:
Hello again and thanks for your direct questions.
I have read your new question.
I agree with the opinion of the Neurologist, the plug that you are referring to should be removed since it is causing symptoms.
It may cause pain directly by the pressure that is causing it, or its contents may irritate the nerves locally.
Discuss with your oral Surgeon these issues.
Hope this helps.
Feel free to ask if you have further questions.
I think too that the plug should be removed.
Detailed Answer:
Hello again and thanks for your direct questions.
I have read your new question.
I agree with the opinion of the Neurologist, the plug that you are referring to should be removed since it is causing symptoms.
It may cause pain directly by the pressure that is causing it, or its contents may irritate the nerves locally.
Discuss with your oral Surgeon these issues.
Hope this helps.
Feel free to ask if you have further questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, Dr. Just an important follow up in light of add'l info from oral surgeon. The plug placed in the extraction is comprised of multiple porous threads of calcium and collegen which are gradually absorbed and integrated into jaw bone in approx. 3 mo. Also promotes blood flow.
Hearing this coupled with being against unnecessary dental work, my neurologist in now on the fence re: removal vs. leaving it alone. Two part question - would like to get your opinion on re-considering removal and also, would either calcium or collegen be an irritant to this AO or inert? As always, thank u so much. Your help in greatly appreciated...
Hearing this coupled with being against unnecessary dental work, my neurologist in now on the fence re: removal vs. leaving it alone. Two part question - would like to get your opinion on re-considering removal and also, would either calcium or collegen be an irritant to this AO or inert? As always, thank u so much. Your help in greatly appreciated...
Brief Answer:
I would explain as follows.
Detailed Answer:
Hello again.
Calcium and collagen in most cases don.t irritate the nerves, but in these compounds may be other adjuvant substances that may be the culprit.
Since it can prevent further unnecessary dental work, I could say that you can wait and see for now.
If there will be an improvement of symptoms with time ( let's say one or two weeks) then you should not remove it.
If no improvement and a cause of major discomfort, then the plug should be considered for removal.
Hope this helps.
Take care.
I would explain as follows.
Detailed Answer:
Hello again.
Calcium and collagen in most cases don.t irritate the nerves, but in these compounds may be other adjuvant substances that may be the culprit.
Since it can prevent further unnecessary dental work, I could say that you can wait and see for now.
If there will be an improvement of symptoms with time ( let's say one or two weeks) then you should not remove it.
If no improvement and a cause of major discomfort, then the plug should be considered for removal.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes, thank you for your input and will wait and see. Due to the increased intensity of the AO now with yet another dental procedure, my family doctor suggested possibly trying some type of nerve block, I assume via injection. I believe he said there are several SBG blocks available. Many years ago, I did have a Stellete Ganglion which did nothing for pain but just wondering if there may be some new blocks available since this was decades ago and if so, would a neurologist or ENT be best to try? Thanks, doctor.
Brief Answer:
I would explain as follows.
Detailed Answer:
Hello again.
It is true that there are several possibilities for nerve blocks when it comes to dental procedures.
These include:
Trigeminal nerve blocks (face)
Ophthalmic nerve block (eyelids and scalp)
Supraorbital nerve block (forehead)
Maxillary nerve block (upper jaw)
Sphenopalatine nerve block (nose and palate)
Stellate ganglion block.
The type of nerve block needed is guided by the localization of the pain.
Oral Surgeons or ENTs perform mostly these procedures.
Hope this helps.
Take care.
I would explain as follows.
Detailed Answer:
Hello again.
It is true that there are several possibilities for nerve blocks when it comes to dental procedures.
These include:
Trigeminal nerve blocks (face)
Ophthalmic nerve block (eyelids and scalp)
Supraorbital nerve block (forehead)
Maxillary nerve block (upper jaw)
Sphenopalatine nerve block (nose and palate)
Stellate ganglion block.
The type of nerve block needed is guided by the localization of the pain.
Oral Surgeons or ENTs perform mostly these procedures.
Hope this helps.
Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
